IndividualActive
Deborah Roussos, RD
NPI 1720171549 · Nutritionist · Madison, WI
Provider details
- NPI number
- 1720171549
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 885 (WI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1265 John Q Hammons Dr
Madison, WI 53717-1941
Phone: (608) 251-4156
Fax: (608) 257-3842
Approximate (ZIP-level) locationGet directions
Mailing address
1265 John Q Hammons Dr
Madison, WI 53717-1941
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.